Does online therapy work?
One of the biggest concerns about online therapy is that therapists don't have an opportunity to observe the patient—something that is usually integral to an assessment and diagnosis. The tone of voice, body language, and overall demeanor provide insight into an individual's well-being.
A major component of effective therapy involves the relationship between the therapist and the patient. As online therapy is impersonal (often, it's completely anonymous), many people have raised concerns about whether digital communication can provide skills, tools, and healing power to individuals staring at a screen.
Despite the concerns, research consistently shows that online treatment can be very effective for many mental health issues. Here are the results of a few studies:
A 2014 study published in the Journal of Affective Disorders found that online treatment was just as effective as face-to-face treatment for depression.
A 2018 study published in the Journal of Psychological Disorders found that online cognitive behavioral therapy is, "effective, acceptable, and practical health care." The study found the online cognitive behavioral therapy was equally as effective as face-to-face treatment for major depression, panic disorder, social anxiety disorder, and generalized anxiety disorder.
A 2014 study published in Behaviour Research and Therapy found that online cognitive behavioral therapy was effective in treating anxiety disorders. Treatment was cost-effective and the positive improvements were sustained at the one-year follow-up.
The Potential Benefits of Online Treatment
Online therapy offers some benefits over traditional face-to-face treatment:
People in rural areas or those with transportation difficulties may have easier access.
Many online therapy sites allow users to sign up with "nicknames" which can entice people who are embarrassed about getting services under their real names.
Most online therapy services cost less than face-to-face treatment.
Scheduling is more convenient for many people.
Studies show online therapy requires 7.8 times less of a therapist's time than face-to-face treatment—meaning therapists can often treat more people online than they can in-person.
Clients don't have to worry about seeing people they know in the waiting room.
It can be easier for some people to reveal private information when they're sharing it online.
Individuals with anxiety, especially social anxiety, are more likely to reach out to an online therapist.
The Potential Drawbacks
Online therapy isn't for everyone. Here are some potential risks and drawbacks:
Online therapy isn't meant for people with certain problems or conditions (such as suicidal intent or psychosis).
Without being able to interact face-to-face, therapists miss out on body language and other cues that can help them arrive at an appropriate diagnosis.
Technological issues can become a barrier. Dropped calls, frozen videos, and trouble accessing chats aren't conducive to treatment.
Some people who advertise themselves as online therapists might not be licensed mental health treatment providers.
Sites that aren't reputable may not keep client information safe.
It can be difficult to form a therapeutic alliance with someone when meetings aren't face-to-face.
It can be difficult for therapists to intervene in the event of a crisis.
How to Find an Online Therapist
If you are interested in online therapy, there are many options to choose from. Think about what type of services you want most—phone therapy, video chats, live chats, audio messaging, or text messaging.
You may find a local therapist who offers online services, or you might find you prefer a large organization that offers a substantial directory of therapists to choose from.
But do your homework and shop around for the service and price plan that best suits your needs.
Find the full article here.
If you're looking for a therapist who provides online sessions, I invite you to contact me to schedule your free phone consultation today! Contact Me Here
Becoming an Active Listener
Body language and unspoken attraction are some of the most fun parts at the start of a relationship. As you can probably imagine, those traits do not make for a healthy, lifelong partnership. One of the main reasons couples divorce is because they lost the ability or never had the skills to communicate with one another. Poor listening skills lead to the breakdown in communication in a marriage. Here are some tips on how to be a more effective and life-giving listener.
don’t interrupt: Let your spouse finish what they are saying. If this is a problem and you interrupt a lot, find some way to remind yourself to keep quiet. Some people put their chin in their hand as a sign to themselves to not speak until their mate is finished talking.
keep an open mind: Don't judge. Jumping to conclusions or looking for the right or wrong in what is being said prevents you from listening. Think before you say anything in response, especially if it is an emotional reaction.
make listening a priority: Listen without planning on what you are going to say in response. Let go of your own agenda. Be aware that you need to listen. Make eye contact. Pay attention by not looking at the TV or glancing at the newspaper or finishing up a chore.
use a feedback technique: Let your partner know that you heard what they said by using a feedback technique and restating what was said. Say something like "I hear you when you say that..." Be open to the possibility that you didn't hear clearly what your spouse was saying, and give them space to say so if that is the case.
pay attention to their non-verbal signs: Be aware of non-verbal signs and clues—both yours and those of your mate. These include shrugging your shoulders, tone of voice, crossing arms or legs, nodding, eye contact or looking away, facial expressions (smile, frown, shock, disgust, tears, surprise, rolling eyes, etc.), and mannerisms (fiddling with papers, tapping your fingers). Over half of your message is delivered through non-verbal signs.
understand what blocks you from listening: Try not to fall into these patterns of listening: mind reading, rehearsing, filtering, judging, daydreaming, advising, sparring, being right, changing the subject, stonewalling, and placating.
stay focused: Focus on the main points that your spouse is talking about. It's okay to ask questions to clarify what you thought you heard.
understand the differences in your communication styles: You may just communicate differently. Being aware can enhance your listening skills. One of you may often share because you want to give information or solve a problem. The other may tend to talk to connect with someone or to get information. Some folks talk more about relationships than others. You may be more concerned about details than your spouse. But don't attribute all your listening differences to your gender.
show respect: Respect your spouse's point of view, even if you disagree with what is being said.
know the difference between advice and talking: Don't give advice unless asked for it. You can't listen and talk at the same time. Feelings are neither right or wrong.
Read the full article on MYDOMAINE.
If you live in the Los Angeles or Westlake Village area and are interested in therapy, I invite you to contact me via email at: tanyasamuelianmft@yahoo.com . I provide a complimentary consultation. Check out my services to see which one might fit your needs. Contact me now to see if we might be a good fit to work together! Or book your appointment here!
Relationship Pitfalls to be Aware Of
I think it’s safe to say, everyone loves love, whether you’re all about commitment or prefer to fly solo. The initial stages of a relationship can have you feeling like you’re on cloud 9 - the excitement, the butterflies, the attention, you know the feeling! However, once the “honeymoon" phase” has worn off and some time has passed, reality kicks in and certain relationship pitfalls can land you in hot water if you don’t know how to navigate them.
Making a relationship last for the long haul can be incredibly difficult! People naturally evolve and change and, unfortunately, sometimes, they aren’t able to do it together. That said, relationships are a choice and, while severing ties can be healthy in many instances, if you’re both in it to win it, playing for keeps can still be done.
Here are some relationship landmines to steer clear of on the path to forever.
Living in Absolute Certainty
Certainty is the end of a good relationship in most cases. Certainty leads to taking people for granted and that leads to increased friction and, ultimately, a break may occur.
Acknowledging and accepting change is important (even if it leads to the end of a relationship). It will help you appreciate your significant other more and see them as someone to continue to fight for.
Pointing Fingers
The secret to a healthy and long-lasting love is actually somewhat simple, but it requires each party to being fully accountable for their role. When it comes to conflict, couples often focus on how their significant other has wronged or hurt them. The sooner people learn that the only thing they can change is themselves, the better off they’ll be.
Without work from both sides it is almost impossible to fix a relationship. Getting couples to see the problem as something they both created, and not just making it about the other person, is one of the first aspects of relationship I attempt to change.
Ignoring Love Languages
Knowing the little things that your partner responds to - touch, words of affirmation, quality time, thoughtful acts, etc. — is pretty crucial in keeping things healthy and happy over time.
The language you most respond to is also the vehicle in which you express your love. If you don’t know what the other person responds to, you give what you want. In doing so, however, you slowly lose understanding of your partner, which can lead to a disconnect.
Attacking Each Other Instead of the Problem
If you continuously attack each other, you’re slowly stripping your partner of their dignity. Put your issues on the table and keep your focus on that. If you just throw a bandage on top of a dirty wound, it’s not going to heal correctly or fully. It’s when you pour the antiseptic solution on the wound that it’s purified and can heal well.
For instance, lack of communication is a popular pitfall in long-term relationships. It’s not about ‘We don’t know how to communicate’; What they should be asking is, ‘What did we lose in the communication process?’ and ‘When did I stop feeling safe?’ It gets deeper and what is actually lost is safety.
At the end of the day, relationships — no matter how healthy or peaceful — are work. You have to be game to put your all in if you’re running toward the finish line.
Relationships are not 50/50, they should be 100 percent. Always bring 100 percent of yourself.
If you live in the Los Angeles/Westlake Village area and are interested in therapy, I invite you to contact me via email at: tanyasamuelianmft@yahoo.com . I provide a complimentary consultation. Contact me now to see if we might be a good fit to work together! Or book your appointment now!
Why You Need To Know Your Partner's Love Language
Knowing a partner’s love language just might save a relationship. The idea behind this psychology is that every individual has a different way that they give and receive love. Dr. Gary Chapman, #1 New York Times Bestseller, The Five Love Languages: How to Express Heartfelt Commitment to Your Mate, argues that these ways can be divided up into 5 simple categories:
Acts of Service
If your #1 Love Language is “Acts of Service,” you feel most loved and appreciated when your partner thinks about what they can do to ease the responsibilities that are weighing on you. Hearing “let me help you with that” or “I already took care of it” is most exciting to you. Laziness, failure to perform their share of chores, or being unthoughtful with how they can help you are all easy ways for you to feel unappreciated and unloved.
Word of Affirmation
If your #1 Love Language is “Words of Affirmation,” actions do not speak louder than words. Unsolicited compliments make you feel secure and happy in your relationship. Hearing “I love you” on a regular basis is important to you, and helps you to believe you are loved. Hearing the reasons behind why they love you is icing on the happy-relationship cake. Insults are not easily forgotten and not hearing enough words of affirmation will make you feel unloved.
Quality Time
Having your partner’s undivided attention is the time when you feel most appreciated. Distractions during quality time or postponing dates can make you feel like you aren’t important to your partner. Scheduling the time to be together is crucial to the success of your relationship.
Receiving Gifts
If this is your #1 language, don’t question your character. It actually has more to do with the thought behind the gift than the gift itself. You appreciate the thoughtfulness behind gift giving (whether it’s a grand birthday present or bringing home your favorite magazine from a trip to the drugstore). All gifts, whether small and daily or big and grand, remind you how much you matter to your partner and how much thoughtfulness and effort they think you’re worth. Missed birthdays or thoughtless gifts are your relationship nightmare because it makes you feel like your partner doesn’t care about you.
Physical Touch
This isn’t just about intimacy — holding hands, hugging, or pats on the back make you feel loved and cared for. Physical closeness is directly related to emotional closeness for you, and neglect can be destructive to the relationship. A hug can lift your mood or take away your insecurities.
So why is knowing your partner’s love language so crucial to the success of your relationship?
It will help you and your partner feel more appreciated.
If you’re an “Acts of Service” person dating a “Words of Affirmation” person, your partner might shower you with compliments and “I love you”s every day, but you would spend the relationship not feeling truly appreciated because they never offer to run errands or do the dishes. Understanding your partner’s love language will help you discern how they show their love, so that you do feel loved and appreciated, knowing the way in which they give their love is different than yours.
It will allow you to communicate your needs more.
Understanding that they do other things out of love, and that they just have a different love language, will help you to communicate, “it makes me feel appreciated when you clean the kitchen,” or “I feel loved when you hold my hand.”
It will show you and your partner what you both should do without being asked.
Knowing your partner is a “Physical Touch” person will make you more thoughtful about holding their hand in public or hugging them when they’re down, and you will be able to understand the meaning and importance behind these little acts that, for you, would otherwise be insignificant. Your partner will be more conscious about what they can do to show you how much they appreciate and love you. When you and your partner both know how the other gives appreciation and wants to receive appreciation, it makes for more thoughtful decisions and efforts that make you and your partner both feel loved and valued.
If you live in the Los Angeles/Westlake Village area and are interested in therapy, I invite you to contact me via email at: tanyasamuelianmft@yahoo.com . I provide a complimentary consultation. Contact me now to see if we might be a good fit to work together! Or book your appointment now!
Unpacking Emotional Baggage
When dealing with emotional baggage, you are constantly struggling under the weight of baggage, bad filters, and triggers. In any situation, nothing that is said is evaluated objectively. Everything is going through a filter that distorts the original message. It stops being about the content of the message, and instead becomes about our perceptions of the sender, and more importantly, about us. We have let ourselves get to the point where we're not really hearing anymore, we're just judging. If you've reached this point with someone, it's time to unpack your baggage.
Here are a few things that contribute to the problem and understanding them is important tp changing the situation:
Your brain processes most information using primitive filters looking only for the most basic information about threats that should be attended to.
Attention errors make it likely that you'll pay more attention and give weight to information that confirms your original point of view.
You don’t get to hear the intent of people’s messages; you only to get hear how their words come out and to feel how the message impacts you. The disconnect between intent and impact is at the heart of many strained relationships.
Start with a Positive Assumption
The next time you react to something someone else says, turn the situation on its head. Start with a positive assumption, rather than a negative one. Instead of assuming that a person is attacking you, start by assuming they are adding value.
Instead of having your normal reaction to what is said, really think about it. Repeat what they said in your head before responding. Think about the words, without reading between the lines or thinking about the back story. Hear the words coming out of someone else’s mouth—how do you interpret them now?
Pay attention to the positive, rather than the negative components of the message. Did the person start with a compliment and then share some constructive feedback? Focus on the compliment for a moment. Let it soak in.
Think about the possible positive intentions they might have had. How might the person have been trying to help? What were they trying to get at? What value are their comments adding?
If you start with a negative assumption, you waste all the value that others could be providing. A positive assumption is the only thing that gives you a chance.
If you live in the Los Angeles/Westlake Village area and are interested in understanding your emotional baggage and unpacking them, I invite you to contact me via email at: tanyasamuelianmft@yahoo.com . I provide a complimentary consultation. Contact me now to see if we might be a good fit to work together! Or book your appointment now!